内瘘护照在自体动静脉内瘘血液透析患者中的应用效果

Application Effect of Internal Fistula Passport in Hemodialysis Patients with Autologous Arteriovenous Fistula

目的:探讨内瘘护照在自体动静脉内瘘血液透析患者中的应用效果。方法:选取2023年12月—2024年2月在复旦大学附属中山医院厦门医院血液净化中心行维持性血液透析的72例患者作为研究对象,根据护理方式不同将患者分为对照组(使用传统内瘘评估和穿刺方法)和观察组(使用内瘘护照对内瘘进行评估和穿刺),每组36例。比较两组穿刺效果、穿刺满意度、内瘘并发症及生命质量。结果:观察组血流充分率、内瘘畅通率、一次穿刺成功率均高于对照组,内瘘并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组干预后内瘘穿刺满意度、躯体功能、社会功能和心理功能评分高于对照组,差异有统计学意义(P<0.05)。结论:内瘘护照有效提高了自体动静脉内瘘患者穿刺成功率,同时降低了内瘘并发症发生率,提高了生命质量和穿刺满意度。

Objective:To explore the application effect of internal fistula passport in hemodialysis patients with autologous arteriovenous fistula.Method:A total of 72 patients who underwent maintenance hemodialysis in the Blood Purification Center of Zhongshan Hospital,Fudan University(Xiamen Branch)from December 2023 to February 2024 were selected as the research objects,the patients were divided into the control group(using traditional internal fistula evaluation and puncture method)and the observation group(using internal fistula passport to evaluate and puncture internal fistula)according to different nursing methods,with 36 cases in each group.The puncture effect,puncture satisfaction,fistula complications and quality of life were compared between two groups.Result:The blood flow adequacy rate,internal fistula patency rate and one-time puncture success rate in the observation group were higher than those in the control group,and the incidence of internal fistula complications was lower than that in the control group,the differences were statistically significant(P<0.05);the scores of internal fistula puncture satisfaction,physical function,social function and psychological function in the observation group after intervention were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Internal fistula passport effectively improve the success rate of puncture in patients with autologous arteriovenous fistula,reduce the incidence of fistula complications,and improve the quality of life and puncture satisfaction.